Perioperative medicine & outcomes

Factors associated with admission before the day of elective major surgery: an analysis of data from the UK Perioperative Quality Improvement Programme

Br J AnaesthPublished Secondary analysis of the Perioperative Quality Improvement Programme (PQIP) prospective observational cohort study

Primary result · Admission before the day of surgeryResult — go to the resultOdds ratio 1.93 95% CI 1.59–2.35

Authors' conclusion

Multiple risk factors for admission before day of surgery could be addressed through policy or local quality improvement.

Study context

Population
Patients undergoing major elective surgery, UK, December 2016 to February 2024
Participants
54,267 patients
Comparison
Patient, case and hospital characteristics associated with admission before the day of surgery
Primary endpoint
Admission to hospital before the day of surgery
Methodological detailsmixed-effects multivariable regression
  • Mixed-effects multivariable regression

Primary result

Admission before the day of surgery

Odds ratio

1.93

95% CI 1.59–2.35

>64 km vs <6 km
OR 1.93 (95% CI 1.59–2.35)

As reported in the abstract

Admitted before surgical date
9124 (17%)
Clustering by hospital (intraclass correlation coefficient)
0.527

Secondary outcomes

Prolonged postoperative LOS

Associated with identifiable case-level factors explaining most of the variation; intraclass correlation coefficient
0.063

Original publication

Factors associated with admission before the day of elective major surgery: an analysis of data from the UK Perioperative Quality Improvement Programme. Br J Anaesth. Published 31 December 2025. doi:10.1016/j.bja.2025.10.064

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